so James I do have to say I never
thought I would be so excited to be able to say live from the swamp.
Let’s get into the bowels. So healthcare I’ve had the opportunity straight out of naturopathic Medical School over 20 years ago I’ve had the privilege and
opportunity to have found functional medicine very early on in my medical
training. So I grew up inside of the paradigm of a naturopathic base and the
functional medicine applications so what is so unique about functional medicine.
What is it that brings functional medicine doctors together it’s a uniting theme and so what we are finding on an international and global
platform. We are finding that practitioners are tired of the process
and the problems that result from looking at the various different
conditions that their patients are presenting with and giving them
medications to just manage that symptom profile . We are seeing an uprising and
internationally a demand from health care providers who are asking for
training and more knowledge and experience in root-cause medicine.
So when you look at these different paradigms naturopathic medicine,
lifestyle medicine, integrative healthcare or functional medicine.
The unifying component of all of those different subtypes of this natural
healthcare is getting to the root causes. So in functional medicine you’re going
to find that one of the most important themes that weaves its way through all
these various different treatment platforms for the different types of
chronic disease it is the gut. It’s acknowledging and recognizing the
importance as Dr. Tom O’Brien set the stage for our conversation today from
autoimmune disease to rash patterns, skin disorders, dealing with a GI disruption dealing with issues impacting joints and arthralgias. We certainly see that we
tune in to the digestive system and we then therefore take a very specific and
appropriate course of care that’s going to manage those root causes.
So if you’reseeing a functional medicine provider you are most likely going to be given a
“5R” protocol. Those of you who are trained as practitioners in functional
medicine you’re going to utilize this approach and what is so unique about
this language? Is that “5R” becomes a scaffolding.
It becomes a way to hang a very systematic but yet personalized approach to helping someone
identify their underlying causes of chronic inflammation or metabolic
disturbances or immune compromisation that can be stemming from the gut.
So in an approach that a practitioner would be taking or those of you who are
with us the do functional medicine. You’re familiar with the “5R” and
this is a very important thing that we’re teaching and empowering our
patients to acknowledge along the way. So the scaffolding of the”5R” what
practitioners are then looking very carefully at and identifying are what
are certain thing is that their patients may be exposed to that they need to remove from the diet their lifestyle or their environment. So the first of those “5R” is going
to be coming back to remove. You got to get those factors
taken away get them out of the system. Second, we want to look at the important
aspects of normal GI physiologic function and what do we need to do to
replace some of those components that may be lost or depleted due to their
diet their lifestyle or their stress. All right because we’re talking about gut
we’re going back to the stress modification response patterns and I
don’t do any of you have stress? and it is pervasive in my patients that come in
the door who are dealing with GI complications it is a unifying theme and how many people will find that when they get stressed out they? They need to run to the bathroom or
they need to stay and hold back and be careful where they go and
navigate their course and how many people do we know practitioners
presenting patients come in and say all right I actually have to gauge my day
around where the nearest bathroom is. All right these can be debilitating
challenging aspects we know that stress and the gut are intimately connected.
So we want to look very carefully at what needs to be replaced?
What are those important aspects that we can put back in to improve healthy
digestive function? Then next we want to look at all those important biotic
patterns that can be present inside of the gut so when we look at the
microbiome we’ve got good bugs and bad bugs and we have various different
balance that is important. again so many of us heard over the
years that technically we are humans living on top of the
trillions of gut bugs that live in our system. Right ? we’re borrowing them right?
We have this fingerprint inside of our digestive system that uniquely
identifies each and every one of us based on that microbiome.
Now that’s pretty remarkable isn’t it? That your stool sample now is a fingerprint. Wow right? Wow All right so one of the things we’re going to do is we’re going to be inoculate we’re going to make sure that we’re getting those adequate good probiotics we want to feed those good bugs as well. So in the same approach it
is key to repair the tissue. It was a wonderful overview that Dr. Tom O’Brien
gave us and what about that video looking at the leaky gut and that
intestinal permeability? right so in our “5R” approach there’s going to be
this next step of repair. We want to make sure that we’re repairing that intestinal permeability component and then last Rebalance. What do we need to
do to look at our lifestyle, to look at all those various different factors from our sleep, our stress, our resilience, our exercise in our movement. What are some of these other important factors that we want to bring onboard to help soothe and
ease and comfort and bring balance to our autonomic nervous system? So this is the overview of the “5R”. Now if we’re looking at remove
what does that mean? What are the types of things that we
would need to remove? Well we commonly are going to turn to food.
We’re gonna look at what are triggering foods? The triggering food families may
fall into a category That’s called a food intolerance, a food sensitivity or potentially a food allergen So we’ve got three different types of reactions or ways in which the body can identify see of food and no, it doesn’t like it.
and create some type of an immunologic cascade that can result in that
intestinal permeability or leaky gut syndrome and then also there’s the
pathogenic or commensal or abnormal bacteria that we want to pay close attention to.
We want to remove environmental exposures environmental toxicants or other key factors that could be there complicating the scenario And then again you’re gonna
hear over and over and over again. When you’re dealing with
dis-functional regulation in the gut We’ve got to look very carefully
at those origins of stress. So I’m just gonna ask you When you think about the various
different stressors in your life ? what’s the number-one stressor
that you have right now today in your life? Capitalism…
interesting live from the swamp.. When you think about the stressors in your life,
Can you do anything about it? Can you control the stress? Do you have the option?
Or is it a stressor that’sout of your control? Sometimes it’s out of our control Sometimes it’s in our control that’s an
important step And therefore what can we do in that environment where it’s a stress out of our control.
What we can do is we can control and support the way we respond to that stress. All right so we have stressors and
we have our response to stress. Both which are very key elements of analyzing
these deep roots and these deep sources. So there’s going to be all
kinds of clinical approaches that may be appropriate
for each and every patient . So the functional medicine
practitioner is going to take that opportunity to figure
out what is unique to you? What is it that we need to
remove for your scenario? Then we want to move
into replace we want to make sure everything’s working well from the top
of the tube all the way down so we’re gonna be looking at some of the aspects
that relate to chewy and taking the time to slow down and chew so many people eat
on the go and they swallow their food too quickly so slow down be mindful
we’re going to replenish those factors that relate directly to the multiple
different cascades that trigger appropriate digestive function now we
want to reenact you late we want to put those good bacteria back in and allow
for them to continue to move through the system we want to feed those good bugs
here’s where we need fiber here’s where we want to look at those probiotics and
the prebiotics and that combination brings us forward in this way in which
the gut turns on a whole new cascade of signaling right how many of you are
taking some form of a probiotic every day right grateful my parents have got
all four of my kids tonight they’re live on the show with us tonight this is why
you’re taking probiotics all right this is why we’re doing this
so every few days everybody gets a little bit of probiotics especially in
this particular season right when we know we’re gonna be meeting all kinds of
different immunologic factors and then repair we’ve got to heal this leaky gut
there are many approaches that that can be given often you’re going to find us
through diet and nutrition applications we’re going to use different types of
formulas powders combinations that will help heal that paradigm shift that had
been going on in the gut to repair that tissue and move forward so this
schematic sums it all up there really ties together the pieces that dr.
O’Brien opened up now we know there are many different triggers that set
intestinal permeability and emotion right and each and every patient is
going to have their unique subset of triggers so we’re working our way
through the five are but personalizing each and every step to make sure we know
it’s unique and right for that patient because the downstream impact of that
altered microbiome and that intestinal permeability is going to be food
reactions it’s going to be challenges with nutrition absorption and we’re
gonna end up with cascades of endotoxin or internal toxin production coming out
of our own gut and digestive system and that’s where our chronic systemic
disease is routed so when you say all chronic disease and inflammation starts
in the gut it’s going to manifest differently for different patients
sometimes it’s going to come out in the skin sometimes it’s going to be swollen
joints sometimes we’re going to feel in chronic pain patterns or headaches or
fatigue syndromes so when going back to the root causes it’s not just about what
you’re taking to heal up the intestinal permeability issue it’s making sure from
the top down from the top down all the way through the system we’re taking the
time to very carefully and adequately bring that antibody load down and
inflammatory load down so in closing I want to emphasize the importance of
mindfulness and our choices in what we’re eating how we’re eating in the
moments that we’re eating slowing down taking just those moments every day even
if it’s just a minute two three four times a day to breathe and relax and
and retrain ourselves to come back into a healthier autonomic balance and find
that point in between so thank you for your time you know you’ve seen a
functional medicine practitioner when you’re respecting your relationship with
the Lu has changed so thank you very much